title: [Anesthetic management of surgery for a huge renal tumor with the inferior vena cava invasion--application of Vigileo as a hemodynamic monitor].
abstract: In anesthetic management of surgery for a huge renal tumor with the inferior vena cava invasion, maintaining circulatory state is one of the key points. Several hemodynamic parameters are required to evaluate the circulatory state, such as central venous oxygen saturation (ScvO2), cardiac output (CO) and direct arterial blood pressure, in addition to routine hemodynamic parameters like heart rate and central venous pressure. Pulmonary artery catheter is considered as a standard apparatus to obtain those parameters; however, the catheter is invasive and may cause possible pulmonary artery damage, cardiac penetration, or severe arrhythmia. Therefore, application of pulmonary artery catheter is a relative contraindication in some cases. We used Vigileo system to obtain similar hemodynamic parameters. This system provided an arterial based pressure-based cardiac output, central venous oxygen saturation, stroke volume variation (SVV) and so on. In the present case, the system was an alternative device to pulmonary artery catheter system.
authors.affiliation: Department of Anesthesiology, Kuroishi General Hospital, Kuroishi 036-0541.
authors.forename: Takashi
authors.initials: T
authors.lastname: Hirosawa
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kushikata
authors.forename: Takashi
authors.initials: T
authors.lastname: Kudo
authors.forename: Yoko
authors.initials: Y
authors.lastname: Kawaguchi
authors.forename: Morito
authors.initials: M
authors.lastname: Wada
authors.forename: Masatou
authors.initials: M
authors.lastname: Kitayama
authors.forename: Hironori
authors.initials: H
authors.lastname: Ishihara
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Hirota
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery*; D016343:Monitoring, Intraoperative / Q000295:instrumentation*; D009361:Neoplasm Invasiveness; D009360:Neoplastic Cells, Circulating; D014682:Vena Cava, Inferior / Q000473:pathology* / Q000601:surgery